Mary A., 1

After Mary's parents separated, she remained in the care of her father, who works as a casual laborer. However, he expressed that he was unable to care for her, so his niece stepped in to become Mary’s guardian. The niece supports the family through small jobs, while her husband works as an unskilled laborer at construction sites. Mary began experiencing vomiting, diarrhea, and fever. Believing it was due to teething, her guardian took her to a nearby dispensary where she was given oral rehydration salts (ORS) and zinc, then discharged. When Mary’s condition failed to improve, her guardian sought further medical attention at Siaya County Referral Hospital. By the time of referral, Mary had been experiencing diarrhea and vomiting for a full week. She was severely dehydrated and had developed abdominal distension. A prompt medical assessment revealed that she was suffering from severe malaria, as well as abdominal distension caused by electrolyte imbalance and hypokalaemia from the diarrhoea and vomiting.

Mary was brought to the hospital with complaints of vomiting and diarrhea. Her test done revealed she was suffering from severe malaria, pseudo intestinal obstruction, and gastroenteritis. These conditions warranted admission, and Mary was admitted to the ward. Mary received an number of medications and she responded well to treatment. She was eventually shxharged on orals. Her other later confirmed that Mary was recovered. She was feeding well and had had no complaints of vomiting or diarrhoea again.

The prognosis for a child with pseudo-intestinal obstruction, gastroenteritis, and severe malaria is generally favorable if managed promptly and appropriately. With effective treatment, including rehydration, correction of electrolytes, and antimalarial therapy, most children recover fully without long-term complications.